RA ocular disease — SCE Rheumatology MCQ
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Correct answer: B — Arrange urgent ophthalmology assessment for vision-threatening scleritis
The best answer is “Arrange urgent ophthalmology assessment for vision-threatening scleritis”. Severe deep pain, violaceous scleral inflammation and reduced vision suggest scleritis, which can progress to necrosis and ocular complications and may reflect active systemic disease. Conjunctivitis and episcleritis do not fit the painful sight-threatening pattern, while refraction, lubricants or routine review would delay definitive assessment.
Reference: NHS scleritis clinical information: https://www.nhs.uk/conditions/red-eye/